ITSS - ACC-RI Customer Complaint Record.pdf
PDF 190 KB Posted
- Attached to
- Information Technology (IT) Services and Support Federal contract opportunity
- Solicitation number
- W519TC-25-R-ITSS
About this file
This is a Customer Complaint Record form used by the Army Contracting Command Rock Island (ACC-RI) to document and process complaints from customers regarding contract performance or requirements.
The form captures essential complaint information including the date and time of complaint submission, complaint source (either an organization or individual with contact details), and a detailed description of the nature of the complaint. It requires identification of the relevant contract number and requirement reference for tracking purposes. The form includes a validation section where the complaint is assessed and marked as either valid (triggering contractor notification) or invalid. Upon validation, the form documents the date and time the contractor was informed, the contractor's name, and detailed information regarding actions taken by the contractor in response. The form concludes with fields for the Contracting Officer's Representative (COR) to sign off on receipt and validation, along with checkboxes and date fields for COR filing and customer follow-up activities. This template serves as the official record-keeping mechanism for complaint management and contractor accountability within ACC-RI operations.
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Text version
Army Contracting Command Rock Island (ACC-RI)
CUSTOMER COMPLAINT RECORD
DATE OF COMPLAINT TIME OF COMPLAINT
SOURCE OF COMPLAINT
ORGANIZATION (Include name of person and contact information of person reporting the complaint for the organization
INDIVIDUAL (Include name and contact information)
NATURE OF COMPLAINT
CONTRACT NUMBER & REQUIREMENT REFERENCE
VALIDATION (document findings of validation of complaint), Complaint IS Valid (notify contractor) Complaint IS NOT Valid
DATE / TIME CONTRACTOR INFORMED OF COMPLAINT CONTRACTOR NAME RECEIVING COMPLAINT
ACTION TAKEN BY CONTRACTOR
RECEIVED AND VALIDATED BY
Copy provided for filing (COR) DATE: Customer Follow-up DATE:
| TIME OF COMPLAINT: |
| NATURE OF COMPLAINT: |
| CONTRACT NUMBER REQUIREMENT REFERENCE: |
| VALIDATION document findings of validation of complaint Complaint IS Valid notify contractor Complaint IS NOT Valid: |
| Complaint IS Valid notify contractor: Off |
| Complaint IS NOT Valid: Off |
| DATE TIME CONTRACTOR INFORMED OF COMPLAINT: |
| CONTRACTOR NAME RECEIVING COMPLAINT: |
| ACTION TAKEN BY CONTRACTOR: |
| RECEIVED AND VALIDATED BY: |
| Copy provided for filing COR DATE Customer Followup DATE: |
| undefined: Off |
| undefined_2: Off |
| Date1_af_date: |
| Organization: |
| Individual: |
| Date4_af_date: |
| Date5_af_date: |
File details come from the government source that posted it. Updated .